This is done by injecting the patients own blood into the. Tears in the dura mater primarily arise from craniofacial trauma or after procedures such as endoscopic sinus surgery. Our patient ultimately required device removal, direct repair, and replacement with a different prosthesis to treat his CSF leak.Ĭopyright © 2020 Elsevier Inc. If conservative treatment does not work, the most common treatment is an epidural blood patch. He developed a cerebrospinal fluid leak after L5-S1 lumbar total disc replacement. In rare instances stroke or even death occurs. His symptoms were exacerbated by activity, worse with sitting, and relieved by ice baths. patients were advised for complete bed rest and avoid prolonged lying on the back. Swelling may last two to three days, but full recovery may take up to three months. Septoplasty is usually an outpatient procedure, so most people can go home the day of surgery. This procedure allows better airflow through your nose and may improve breathing. A spinal fluid leak occurs when CSF escapes from the dura. Septoplasty is surgery to fix a crooked (or deviated) septum. One function of the dura is to contain the cerebrospinal fluid (CSF)the liquid that bathes and cushions the brain and spinal cord. It strengthens and stabilises your spine, and prevents painful movement. Keywords: Management, resistant CSF leak, lumbar spine surgery. Related Specialties Spine Disorders The brain and spinal cord are surrounded by three protective membranes, the outermost of which is called the dura. Although CSF leakage is rare, we discuss a case of CSF leakage and the diagnosis and management of CSF leakage after lumbar total disc replacement.Ī 25-year-old man had presented with discogenic low back pain caused by degenerative disc disease of 9 years' duration. Spinal fusion This procedure joins two or more vertebrae together using bone grafts, screws and rods. Nevertheless, several complications have been reported, including, among others, wound infection, vascular injury, retrograde ejaculation, postsympathectomy syndrome, ileus, and cerebrospinal fluid (CSF) leak. Lumbar total disc replacement is increasingly becoming a more common treatment for discogenic low back pain refractory to conservative measures.
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